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Q118A
Q118A – Cumulative Preventive Care Management Service Enhancement Code - Colorectal Cancer Screening (15%)
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
This is a Cumulative Preventive Care Management Service Enhancement Code, also known as a Preventive Care Bonus, for colorectal cancer screening. This specific code is billed at $0.00 and corresponds to achieving a 15% screening rate, which results in a bonus payment of $220. It is only available to physicians in RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG models who meet the minimum roster size, as detailed in .
When to Use
- Use Q118A when your rostered patient population achieves a minimum 15% colorectal cancer screening rate as defined by the Ministry's preventive care data.
- Submit this code as a tracking mechanism to trigger the $220 bonus payment once your practice meets the specific threshold for the current billing cycle.
Common Pitfalls
- Billing Q118A when your actual screening percentage falls below the 15% threshold, which will result in a rejection or an audit flag.
- Attempting to bill this code if you are not enrolled in an eligible model like FHG, RNPGA, or BSM, as the system will automatically reject the claim.
Billing Tips
- Monitor your preventive care reports regularly to confirm you have crossed the 15% threshold before submitting Q118A to avoid unnecessary claim rejections.
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